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NPI Code Detail

MEDICARE: RANDI LOSALU MSW, LCSW

MEDICARE:   RANDI  LOSALU  MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1598243156CO
21041C0700XClinical Social WorkerLCSW--1316WY

General Provider Information

NPI Number : 1598243156
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDI LOSALU MSW, LCSW
Provider Business Mailing Address
First Line : 4025 RAWLINS ST
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-1900
Country : US
Telephone Number : 307-426-4797
Fax Number :
Provider Business Practice Location Address
First Line : 2550 STOVER ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4641
Country : US
Telephone Number : 303-222-3042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2018
Last Update Date : 10/10/2023

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Directions to “ RANDI LOSALU MSW, LCSW” Practice Location

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